Re: Lortab
From: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net)
Thu Nov 11 13:32:42 2004
Anna,
If you can, either e-mail me or mail me a copy of that contract if you would
Thanks,
Lynn
--
Lynn D. Montgomery, M.D.
Maternal-Fetal Medicine, OB/GYN
Rocky Mountain Women's Health
2835 Fort Missoula Rd., Suite 304
Missoula, Montana, 59804
406-549-0978
fax 406-549-0987
e-mail: apgar10@montanadsl.net
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Anna
Meenan, MD
Sent: Thursday, November 11, 2004 11:16 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Lortab
In family medicine, I see a fair amount of this in other contexts. I have
adopted a narcotic contract for use in my office. I will not prescribe
narcotics for more than two weeks unless the patient signs one.
Incidentally, my orthopedic surgeon had me sign one the first time I came to
his office for a consult, before he had ever prescribed anything for me.
What it says if you haven't seen one is that the patient agrees to have meds
prescribed by only one doc, will not call for early refills, will always
give 24-hour notice for refills, will not call at night or on weekends for
refills, will only fill Rx at one pharmacy, and gives permission for us to
discuss their refill pattern with that pharmacist or any other pharmacist if
we feel the need to, will submit to random drug testing to check for
multi-drug abuse or diversion, and understands that we will discharge them
from the practice immediately if they violate any article of the contract.
Most abusers will walk out the door when they see the contract and that's
fine with me. In the small town that I practice in, I think the word is out
on the street that Dr. Meenan is not the one to go to if you want
narcotics, so I am seeing less of it, or maybe they're just getting their
narcotics via the internet. I seldom prescribe narcotics in pregnancy.
Anna Meenan, MD
At Wed, 10 Nov 2004, Lynn D. Montgomery, M.D. wrote:
>
>Listers,
>I don't know if y'all are experiencing the same phenomenon as I, but it
>seems that the current generation of pregnant patients is unable to
>cope with pregnancy without the benefit of Lortab or its equal. I get
>more calls each day for this than any other issue and pregnancy. I
>have always been and continue to be quite hard line in this regard, but
>it doesn't stop them from asking.
>
>Along those lines, how do y'all respond to a pregnant patient who is
>complaining of "severe" pain, crying, mad husband, the whole works?
>Lynn
>
>--
>Lynn D. Montgomery, M.D.
>Maternal-Fetal Medicine, OB/GYN
>Rocky Mountain Women's Health
>2835 Fort Missoula Rd., Suite 304
>Missoula, Montana, 59804
>406-549-0978
>fax 406-549-0987
>e-mail: apgar10@montanadsl.net
>
